Authors: Tang JB, Tonkin M, Boeckstyns M, Hooper G
PMID: 30784373 [PubMed - in process] (Source: Hand Surgery)
Authors: Rosales RS, Landin L, Corella F
PMID: 30784374 [PubMed - in process] (Source: Hand Surgery)
Authors: Fuentes-Viejo D, Cellarier G, Lauer P, Simon P, Mittlmeier T
Primary or secondary subtalar joint arthrodesis after displaced intra-articular calcaneal fractures makes use of talocalcaneal large-diameter screw fixation after an eventual correction of geometric hindfoot deformity. Despite this procedure usually having a successful functional outcome, potential complications occur, including nonunion and malalignment, with an unknown rate of loss of correction or implant migration during the healing period. Angular stable fixation of the subtalar joint arthrodesis with an interlocking nail applied in a minimally invasive technique affords maintenance of the hindfoot position until osseous healing occurs. The key steps of the surgical technique are described.
CONCLUSIONS: Radially deviated thumb polydactyly is not simply radially deviated; the shape of the proximal phalanx of the ulnar thumb is important to determine the surgical procedure. However, our results indicated that the alignment is almost manageable, and the surgical outcome was comparable to that of patients with a proximal phalanx-type thumb polydactyly.
PMID: 30760140 [PubMed - in process] (Source: Hand Surgery)
CONCLUSIONS: These results suggest that heparin and PGE1 administration do not improve impaired blood flow following replantation. Considering the potential complications, heparin and PGE1 following replantation do not seem necessary.
PMID: 30760153 [PubMed - in process] (Source: Hand Surgery)
CONCLUSIONS: These data suggested that our technique is a successful procedure for the trapeziometacarpal joint arthrodesis. Cross-shaped bone grafts have the advantages of restoring thumb length and providing internal stabilization, especially for rotational force. No complications arose at the bone harvest site of the iliac crest. The procedure seems to be technically demanding, particularly for adapting the bone graft to perfectly match the shape of the defect.
PMID: 30760141 [PubMed - in process] (Source: Hand Surgery)
CONCLUSIONS: Based on this retrospective study of patients with zone 2 flexor tendon injuries, the clinical outcomes of modified and original Lim/Tsai techniques are comparable. As such, there is no clinical evidence favouring one over the other.
PMID: 30760154 [PubMed - in process] (Source: Hand Surgery)
CONCLUSIONS: Our models were able to predict what patients were at the greatest risk for amputation and multiple debridement. Reducing rates of osteomyelitis and delays in presentation may help reduce the incidence of amputation and reoperation in this injury.
PMID: 30760142 [PubMed - in process] (Source: Hand Surgery)
CONCLUSIONS: Our results demonstrate a good range of motion following treatment, however hardware removal and tenolysis was necessary in 36% of cases.
PMID: 30760155 [PubMed - in process] (Source: Hand Surgery)
CONCLUSIONS: Although CS of the hand bones behaves as a locally aggressive lesion, it rarely metastasizes. Intralesional curettage with a cancellous bone autograft appears to be a good option in low-grade CS to preserve the function, keeping in mind the high rate of recurrence. Wide excision or amputation is recommended when severe joint deformity or soft tissue involvement interferes with hand function.
PMID: 30760143 [PubMed - in process] (Source: Hand Surgery)